Individual provider Active NPI

Randall Franklin Laurich Jr., DC

  • Chiropractor
  • Wellington, FL
National Provider Identifier
1093744211
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8047 Issued in FL
Practice address
11596 Pierson Rd Unit 5
Wellington, FL 33414-8770
Phone
(561) 333-5351
Fax
(561) 333-5374
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8047 FL Primary

Addresses

Primary practice location

11596 Pierson Rd Unit 5
Wellington, FL 33414-8770

Mailing address

11596 Pierson Rd Unit 5
Wellington, FL 33414-8770
Phone (561) 333-5351

Other practice location 1

9825 SW 18th St
Suite 200-300
Boca Raton, FL 33428-6628
Phone (561) 883-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031219000572 FL Practitioner - Chiropractic 7113824020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9180 Forest Hill Blvd
Wellington, FL 33411-6564
Phone (561) 333-5351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Experience of Wellington Inc Chiropractor CurrentSince Feb 1, 2008 Accepting new patients
Boca Health Care Center PastSince Sep 13, 2009 Accepting new patients

Locations

11596 Pierson Rd
Unit 5
Wellington, FL 33414
Phone (561) 333-5351

1400 Corporate Center Way
Ste 120
Wellington, FL 33414
Phone (561) 850-4308

9180 Forest Hill Blvd
Wellington, FL 33411
Phone (561) 333-5351

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1093744211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11596 PIERSON RD UNIT 5",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148770",
            "telephone_number": "561-333-5351",
            "fax_number": "561-333-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11596 PIERSON RD UNIT 5",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148770",
            "telephone_number": "561-333-5351",
            "fax_number": "561-333-5374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9825 SW 18th St",
            "address_2": "Suite 200-300",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334286628",
            "country_code": "US",
            "telephone_number": "561-883-0090",
            "fax_number": "561-883-0676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURICH",
        "first_name": "RANDALL",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.